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Subject:
From:
Pat Young <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Wed, 29 Sep 2010 14:59:22 -0400
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Dehydration probably didn't help.  When BG was posted at 38 she should have
nursed again.  Why do we think formula is more magic?  Pat in SNJ

> As both a diabetes educator and lactation consultant, I ran into an
> interesting situation this morning.  I have the parents' permission to
> post.  The newborn (12-24 hours of age) of a first-time mom via C-section,
> breastfeeding very well, multiple times in first 12 hours, was jittery and
> had blood glucose of 38 mg/dl.  Baby was given to mom to breastfeed and BG
> rechecked in about 1 hour.  BG only at 39 mg/dl so baby was given formula.
> BG continued to be between 40 and 55 mg/dl for next several hours.  Baby
> continued to breastfeed and symptoms were no longer present about 6 hours
> later and BG monitoring was stopped.  Mom was noted to have very
> concentrated urine, lost about 700 cc during delivery.  She did not have
> abnormal BG's during pregnancy, but reports she has difficulty with
> reactive hypoglycemia.  My questions are what is the carbohydrate content
> of colostrum; was the volume of colostrum compromised by the mother's
> state of dehydration?

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